Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Rhubarb (Rheum species) has a long history of use in traditional Chinese medicine and other herbal systems, primarily as a laxative and for its purported anti-inflammatory and astringent properties. The traditional rationale for using rhubarb to support or treat hemorrhoids is based on its ability to soften stools and relieve constipation, thereby reducing the straining that can exacerbate hemorrhoidal symptoms. Additionally, some traditional texts describe rhubarb as having a local astringent effect, which might theoretically help with bleeding or inflammation associated with hemorrhoids.

However, robust scientific evidence for these effects is limited. Some small studies and pharmacological investigations suggest that certain components of rhubarb, such as tannins and anthraquinones, may have anti-inflammatory or astringent actions. Nonetheless, no high-quality clinical trials specifically examine rhubarb for the treatment of hemorrhoids. Most references in the scientific literature cite traditional use or extrapolate from its laxative effects. As such, while the use of rhubarb for hemorrhoids is grounded in traditional practices, especially in East Asia, the direct scientific validation for its efficacy and safety in this context is lacking. Caution is advised, as rhubarb can cause unwanted side effects like diarrhea or electrolyte imbalance when used excessively.

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